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Home My WebLink About91-1681 ST ATE OF FLORIDA City of Zephyrhills PASCO COUNTY BUILDING DEPARTMENT 1-813-788-6611 _ .' ~tJ '2 .... IV -=> 'j . 2.0,OD ~CT~ PLU~ Permit N'~ Date 1681M 7- so-~'l @~NI~ Property Owners Name: L/i--!-- UVltUf;. SS Job Address: 3 cJ '2-01 .- /0 -i-A /f v'. ~ l?-;JIN(;- Ui:..,J r,; It- 11_" /... t./-OOIO-OO~LOot()-O/3D Legal Description: Sub.Div. (.,JO Blk. Zoning CI: .,.-.;-' Description of Work -' ^~ SfilLL NbrlA1 Energy Code Readout: IIjc Complete Plans, Specifications and Fee Must Accompany Application Estimated Cost: ~/b()l 00 All work shal! be performed in accordance with the above and all City Codes and Ordinances. OCCUPATIONAL LICENSE # SO/0jJ Y' ~ 5o~~'t S#'2- PLUMBING SLB Tub Set Water Sewer Final Ftr. Pre SLB Lintel FRM. Insul.C WL Driveway ~ ~ 5C () 0 Fee: '~J -.., .......;, SIGNATUOk ~-<- L .? COMPANY l ( ADDRESS TELEPHONE # ELECTRICAL MECHANICAL Tp.Serv. Rough In Meter Can Const. Pole Pool Pre-Meter Final Breakers Ducts Insl. Compressor Final Relnspectlons: When extra inspection trips are necessary due to anyone of the following reasons, a charge of t!. ('10.00) dollars shall be made for each sip. TY4-.c:Le (N'-: 0"{) ) (a) Wrong Address (b) Condemned work resulting from faulty construction (c) Repairs or corrections not made when inspection called for (d) Work not ready for inspection when called. The payment of reinspection fees shall be made before any further permits will be issued to the person owning same. ..._, ~ ~_.~..-.._._- ____.....l--...,___,. Jrnpitnul Page No. of Pages ~ONNY'S D!SCOL~NT APPUANCES, INC. 3399 South Highway 301 DADE CITv, FLORIDA 33525 (904) 567-6224 / PROPOSAL SUBMI~J"b TO ,./ STREET 7/ CITY, STATE JOB LOCATION DATE OF PLANS JOB PHONE .-;.- We hereby subn;it specifications and estimSites for: / . ." . II vi . /f"'Y j/.. . /, -r - 3/.2- /-<JV~~/~>J~ -rl/ ;~'Q~"-' ~ ~ .11 .,2 ,;4. tI- / 1 -- E JlL rD 5 '\ ~,,-........- ( \\ '\ '... -- i'j'" i.} ~; . ."y t-- ,. /V" i,j /....- ~i I / /3, r; / J 2- !-<,,~-./7,J 1.-, J / ,/f4-, (0 j/ / +--- . /) ~/c,Uh-('/:~ / II /' '~]()~O /'6>5 ,,ft J'e; 3, ~ I ----- ----..--- () --32- ~ 7/0 ;' 't~) / (/~ /~~~{~} )1<;3..... 5..-'0 I ',1//" tI{,V.'!; I If L / _''''j) II" /c. . J ~-t ~ I .''ft.,L- ii /' ", . I //:f:' ~J )~~'~ .,'"/)....._ t /" '. 'v ,--- J-:> -< I ,) .- 2;> ---'0 J Dr 'roponr hereby to furnish material and labor - complete in accordance with above specifications, for the sum of: Payment to be made as follows: dollars ($ ), All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifica- tions involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. ) / A~h"i," ..~?- ~ Signature ,. --:::;;?T"':/ .' '--.----~ote: This proposal m~y ~~" " withdrawn by us if not accepted within days. Date of Acceptance: Signature ( >7 -.1'-, , , .( )L)./::~/ Atttptautt nf 'rnpl11ial- The above prices, specifications and conditions are satisfactory and are hereby accepted, You are authorized to do the work as specified. Payment will be made as outlined above, 7- .?6 -7/ Signature PRODUCT 118-3 j!\tEBs/elnc. Groton, Mass_ 01471. ToOrdef PHONE TOll fREE 1 +800-225-6380 I . OWNER APPLICATION FOR PERMIT CITY OF ZEPHYRHILLS . f) BUILDING DEPARTMENT X~ .(!~ ~ (!6J7~ -- 2'-;7,i~ 7f?2~Ct?/1 , APPLICANT ADDRESS JOB LOCATION h ~~ ,. .",.- LEGAL DE5~lPTION: LOT(S) LOT SIZE x AREA SQ.FT, BLOCK SUBDIVISION PARCEL I.D,4t //--2.b-2-I-t;b/O -t5~7()C> -Ii/3D ... ~~i-tW-/~~ WORK PROPOSED:____New Construction ----Addition ----Alteration ~epai~ ~Install of ____Sign/Temp. _Sign ____Move. _Demolish PROPOSED USE: _Single Family --YI/F _# of Units ____M/H _Commercial _Indust, _Swim. Pool Other _Restaurant & Health Department Approval BUILDING SIZE: x Square Feet, Height RESIDENTIAL: ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** COMMERCIAL: ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** **COPY OF CONTRACT REQ~ED. PRRMITS REOUESTED _BUILDING ....A-ELECTRICAL A....MECHANICAL $ Valuation of Total Construction AMP Service Florida Power Corp. $ q/,( IP I f?- 5"- Valuation of Mechanical Installation W.R,E.C. _PLUMBIN"G GAS ROOFING SPECIALTY TYPE OF CONSTRUCTION: _Block ____Frame _Steel Other FINISHED FLOOR ELEVATIONS: FT. ****************************************** CONTRACTOR SECTION Company State Cert. or Regist. # City License Registration # [1\ /J ******~*:J(******************* *********** 1 ~1 fV'-./7 -I ~~ I Company 4- . State Cert. or R 'ist, # City License Registration # ****************************************** BUILDER Signature ELECTRTCTAN Sillnature MECHANICAL fLJS Company I State Cert, or Regist, # City License Registration # . ..........r................l.......~..~. '. ' ~ 7 ~ Company. ~4'{t.':) .~~ State Cert. or Reg' t, # City License Regiscration # ****************************************** PLUMBER Signature Signature Company State Cert. or Regist. # City License Registration # OTHER Signature ***t**f*~*~****~*~f~1**~************ APPLICATION APPROVED BY LA-/~~____~. " PERMIT OFFICER. . ..(. CONDITIONS OF PERMIT. AFFIDAVIT I ,.... ., A. NOTICE OF DEED RESTRICTIONS :';:: '.' The undersigned understinds that this perlit lay bl subject to Ideed restrictions' IIhicfi'lay be .ore res\rictive than City regulations. Thl! undersigned nSIlI!S relpDnsibiHy~;.f,~~ cOlpliance lIith any applic,~~!e.~,~d.in~trictlons. B. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES If the owner has hired a contractor or contractors to undertake Mork, they lay be required to be licensed in accordance Mith state and local regulations. If the contractor is not licensed as required by lall, both the ollner and contractor aay be cited for a lisdeleanor violation under state lall. If the OMner or intended contractor are uncertain as to IIhat licensing requir!I__t1~ay apply for the intended 1I0rk, they are advised to contact the City of Zephyrhills Building Depart.ent, IB13l 7B~-6611. . Furtherlore, if the OMner has hired a contractor or contractors, he is advised to have the contractorlsl sign portions of the 'Contractor Sections' of this application for IIhich they lIill be responsible. If you, as the ollner sign as the contractor, you are indicating that you, rather than the contractor, are responsible for the Mork. If the contractor wishes you to sign as contractor that lay be an indication that he is not properly licensed and is not entitled to per.itting privileges in the City of Zephyrhills. . C. TRANSPORTATION IMPACT FEES AND UTILITY CONNECTION FEES D. CONSTRUCTION LIEN LAW (CHAPTER 713, FLORIDA STATUTES, AS AMENDED) I certify that I, the applicant, have been provided lIith a copy of 'Florida's Construction Lien Lall - Ho.eollner's Protection Guide' prepared by the Florida Depart.ent of Agriculture and Consu.er Affairs. If the applicant is SO'Eone other than the "ollner", I certify that 1 have obtained a copy of the above described docu.tnt and prolise in good faith to deliver it to the 'owner" prior to co..ence.ent. E. CONTRACTOR'S/OWNER'S AFFIDAVIT . I certify that all the infor.ation in this application is accurate and that all Mork lIill be done in co.pliance lIith all applicable lalls regulating construction, zoning, and land develop.ent. . Application is hereby lade to obtain a perlit to do Mork and installation as indicated. 1 certify that no 1I0rk or installation has co..enced prior to issuance of a perlit and that all Mork "ill be performed to .eet standards of all laMS regulating construction, City codes, zoning regulations, and land developlent regulations in the jurisdiction. I also certify that I understand that the regulations of other govern.ental agencies lay apply to the intended work, and that it is IY responsibility to identify "hat actions 1 lust take to be in cOlpliance. Such agenCies include but ~I e not Wlited to: I Departlent of Environlental ReQulation - Cypress Bayheads, Wetland Areas and Environlentally Sensitive lands, Water/Wastellater Treatlent f Southwest Florida Water "anaQelent District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses I ArlY Corps of EnQineers - Seallalls, Docks, Navigable WaterMays I Depart.ent of Health ~ Rehabilitative Services. Environ.ental Health Unit - W~lls, Wastewater Treatlent. Septic Tanks I US Environlental Protection AQency - Asbestos abatelent 1 also certify that, if fill laterial is to be used in Flood Zone aA' or 'A,etc.', it is understood tt.it a drainage plan addressing a "colpensating volu.ea "ill be sublitted IIhich is prepared by a professional engineer registernd in the State Df FI~rida prior to perlit iss~ance. A perlit issued shall be construed to be a license to proceed Ilith the 1I0rk and not as authDrity to violate, cancel alter, Dr set aside any provisions of,\he technical cDdes, nor shall issuance of a per.it prevent the 8uilding Official frol thereafter requiring a correction of errors in plans, c~ns\ruction, Dr violations of any code. Every pfrlit issll~d shall becol! invalid unless the Ilork authoriz,d by such perlit is cOllenced within six lonths of is~uance, Dr if work authorized by the per.it is suspended Dr aband~ned f~r a peri~d ~f six lonths after the tile the work is cOI.enced. One 90 day eltension of tile, lay be allowed for the perait Hith fee charge of $15.00. The extension shall be requested in IIriting t~ thn Building Official. An approved inspection lust, be l~gged during each six lonth period, Dr the project "ill be considered abandoned. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE DF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. JOBS UNDER $2,500 IN VALUE DO NOT NEED TO RECORD ANT) POST A IINOTICE OF COMMENCEMENT". SIGNATURE_~_l~!:ad~;(~~~----- SIGNATURE_~-1lJ:1-:'""7-"'_ci___- OWNER OR AGENT CONTRACTOR . DATE__________~Jl21Q-L3-2----------------- DATE____________zj_~~~<3-~.------------- 11;;' c~~ MY COMMISSION EXPIRES.-""";,,,,:,,"'H';: ,t"'. :/.,;'i~';. ----~~~,,~iW~~~~~M~- NOTARY AS TO OWNER OR AGEN